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se+���z�eep <br /> a—Ffeakh and Welfare Agency: , ti <br /> OMB No'20ti0--0039_(Fkpiree 0.30.91? '. S89 �nt3tf UCtlOn8 Ott BBC ^t'Page'-8 Department of Health Services <br /> f1W hrm degfiAtrfori181#oh-ellAYt` _ Toxic Substances Control Division <br /> typewrrrBrJ. ='end �rontt��,Pa� t S�. <br /> " is Oeherator•a US EPA ID No. ~Manifest Pa e 1 Sacramento Cei+llomie <br /> ; - <br /> UNIFOgM-Hr�AZARDOUS, <br /> InAN ��T`:'; _";t `�� " o u nt I+- - abs- int]WF <br /> o etlon in the ehadeal is* <br /> eas <br /> 1111 1l'C <br /> 3:Osns t r` Name aAd;Mallin(I,Att tieaa , `i"+"'� �.�, 11+ I. Aot e. required Fe <br /> WSW. <br /> one .. , u � xtt►,t'saute�►t�wa� ... <br /> 4 C#sTisralor'e Ph <br /> �5 <br /> , <br /> , <br /> 6 7ranapotter.t,Compahy:Nain W- . 8 .. <br /> s„ _., Number. y 4, r$tBtiE if R1 <br /> US EPA ID,Number,, <br />#-,. ►�. ; � _'#` � _ � '� ' t � ,� a: ,* 1#w <br />` 7.TiYnsp1#rtet:2. omPAfiy.lVatns '" 9r"" 1.184EPA'ID,, <br /> r , -4, <br /> �F <br /># 9_Dq At&&V6611Ny,NaM SIt8';Addrpta' <br /> �A A " 10'--- USIEPNuinb6r! 3 r r" 7 s�tY[h llpHin <br /> 14V jo rof All <br /> , <br />• ""- '""-"""'"- � �- '+� <br />' �it.��US,DOT Description(Incl dim Prope"'i Sh�n'p dame,1lazard Claes endib Number]"" Uantky �ilnit*� <br /> t `�` Waefi Na <br /> Z a _r w a C. �' •• i No �! rYPe� y Wt/Vol <br /> b..,.....:- � _,.y.w... n:;0. � • <br /> - <br />.r N <br /> A. �. '� �' <br />` - <br /> r <br /> !?PAr. <br /> ' <br /> IN E �ts +►e; l. <br /> :ituu speciiAo_(natractione ana�lddk�onal Igto __ _.. _. <br /> �.r(1 <br /> lalHagd <br /> 'x,+n. ,h ems., -�*+.- <br /> E <br /> GENE CFRTIEICATI6N.-r'1 hereby declare that the contents of thla conaipnment ere:fuly and'aocurately de6orlbed.above by proper eh ppin�me'� <br /> CIM i0fiVasW611¢packodrhtarltedfand labeled and ere In all reapecle In proper condition�fordrrannspbr{by, iphwa a,6r frlO tb;epplloeble Intemstional and" <br /> r. t ,national4oveMmant r6gUla1161rei � . .��•''r r .� A, �..' � ,:,mar 1` "� <br /> F r N 1 N l am a'I�stpe uarA «� A egro-:: ;i6r` .q <br /> q ity`genftretor,I oeAlfy that i have a program In place to.fedude the volume"endoxlcit o}waste generated to'the degree i have determined <br /> f. 'to be economlcagy pr otfcabI4 and;j l,heve selected the'practicable.(nethod,of reetment,.storage,ybr,didpoaakcurrently`eYailable to me Yvhich minimizes the` <br /> : .*t'present and hAift tq frira(:to huiniin AeaiFh aild,tne eniri►onmept;01i,1f i em-a'amitlf'quahtitj7 pe+ierat6f.i;�i$Je:(nrida tri d"�di4Ml effort Ca ifyl Mlzd mtiivaato <br /> # leratlon and.e the boat waste hlanagemenf Inethdd fhat_ie avaiiabl ♦b me`a11d that ban elford: tir <br /> 1. <br /> Wtrr <br /> ' .P ed/Typed g �. SI nature ' a- __ <br /> p , + Na ��-,.--•«..,hr� kT�r 'MontA'-.Dey Year,#� <br /> 0911� MIX <br /> 3 +1A R Tu�oTayppedortor-'Aen ,r. .,. yr w etlal <br /> R 8Mlgwnatu�r +, ,-W�.• ^ ,* - ►�ro.snt - �„t7nv8�ny« =Ysa`rnorM ,. <br /> Mir <br /> r'p ranaportar 2 Acknowledgement bf,�teoaipt W MateAel ,+a � "+^ >_'r - �- ..Y�. <br /> d rR Pdtdetl/Td Name <br /> • <br /> RaT YPe. _ Signature ^ _Months}Day Year <br /> r V. yE <br /> Q `: <br /> +c,'. Y f <br /> '4 <br /> t tt :.Fackky Qwnef tx Operator Cgrtifloatk►A of receipt of haurdoue meteAela Covered by ihia manifest except'as noted In HemA9 y'.' �'• <br /> + .w. <br /> + t Y Printed/Typed Name. ..... - , 'Signature*�Y '" aa -^�r « - W. MontA D�r.Y6arF <br />' •�" `�ay `r r•.,.'� "w«.. 4'�-.. � k� �n" �r�'x.. •�,.w.a.w_..�,...f. 4"n,�•,.. .-a.;."w-..�.....i x- <br /> .. ....I• .. .,r, r .��r t a. .; � � •!:, s!'�°i4"C• ... �."��".. �..�, <br /> otlsao2z`A�- - .. .�. .rw.�- r, `�Do�Nof WVROBeloW4his�LlneR ., ,..-.� .. ,�.. <br /> 'Fi�P��B7�=22 .. � <br /> �f(R817t8 89)'Prevfouredkione ate obeofete. <br /> r <br /> YELCOWs 'GENERATOR S <br /> RETAIN <br /> - .. `. • .<.. ., . . _ �,,,.'.dtw .,� .�c a ..;�.-d at- .. ,� Ks,,C. ... +:. ..,, .� s�` �� �'~w .,e. <br />